Duties and Responsibilities:

Payer Data Management

• Serve as the company’s Subject Matter Expert in healthcare payer information, managing a comprehensive dataset of over hundreds of insurance payers and tens of thousands of insurance products/plans.
• Apply healthcare payer knowledge to identify and resolve data discrepancies, ensuring accuracy and completeness of payer profiles, plan data, and claims matching crosswalks.
• Develop and maintain data quality standards specific to healthcare payer information.

Data Operations & Quality Assurance

• Monitor end-to-end data workflows for the ingestion, processing, exception resolution, and delivery of PurpleLab’s payer data assets.
• Review data for accuracy, completeness, and consistency.
• Lead comprehensive analysis and integration of healthcare datasets from diverse sources including claims data, public records, and third-party vendors.
• Identify trends and anomalies in payer data that impact PurpleLab’s claims warehouse operations.
• Collaborate with product management and technical teams to identify data quality issues and implement solutions.
• Contribute to the development of data validation rules and quality control processes.

Industry Landscape & Innovation

• Stay current with healthcare payer market trends, including mergers and acquisitions, rebranding, and market entrances/exits.
• Maintain awareness of evolving payer data sources, regulations, compliance standards, and best practices in healthcare data management.
• Share insights about the payer data landscape with cross-functional teams.

Qualifications:

Required

• Bachelor’s in healthcare management, data science, or a related field.
• 2+ years healthcare data management experience, preferably with a focus on insurance claims and payer data management.
• Understanding of the complex landscape of health insurance payers, issuers, self-funded groups, TPAs and PBMs.
• Strong understanding of healthcare markets such as government programs (traditional Medicare, Medicare Advantage, Medicaid) and commercial (group, individual, exchange).
• Proficiency with standard data management tools and IDEs, including writing SQL queries and familiarity with common data tools (SQL, Excel, report builders).
  
  Preferred
• Experience with claims filing, adjudication, and payment processes, including clearinghouses and claims routing.
• Certifications in data management or healthcare analytics.
• Experience working with software development teams, especially in a healthcare technology startup environment.
• Experience with big data cloud platforms (AWS or Google Cloud) and data scripting (Python/R) a bonus.

What We Offer:

• Impact-Driven Mission: Directly shape healthcare outcomes through data-driven solutions.
• Startup Culture: Collaborative, dynamic environment with significant growth potential.
• Professional Development:
  o Continuous learning opportunities
  o Exposure to cutting-edge data technologies
  o Career advancement in a scaling company
• Competitive Compensation: Comprehensive benefits package recognizing your expertise.

A background check is required for this role.